Monitetra M King, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW2855 Issued in LA

Practice address

2900 W Fork Dr
Suite 200
Baton Rouge, LA 70827

Phone

(504) 309-7844

Fax

(504) 309-7845

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innis Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Batchelor, LA
  • NPI 1205858388
  Medicare reassignment NPD
• Innis Community Health Center, Inc

  dba Livonia School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1578986006
  NPD
• Innis Community Health Center, Inc

  dba Livonia Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1003910167
  NPD (past)
• Victor Sims Counseling Services, Inc

  • Clinical Social Worker
  • Gretna, LA
  • NPI 1376311241
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972602662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6744",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70174",
            "telephone_number": "504-309-7844",
            "fax_number": "504-309-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W FORK DR",
            "address_2": "SUITE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70827",
            "telephone_number": "504-309-7844",
            "fax_number": "504-309-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MONITETRA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "LCSW2855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey King
• Lasharwitt M King
• Lisa Henson King, NP-C
• Maurice L King, M.D.
• Maurice L. King III, MD
• Nakia King
• Precious King
• Robreka King, FNP
• Roneisha King
• Ryan Christian King, M.D.

• Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.